PCNL术后残石行ESWL治疗的时间及疗效分析  

Therapeutic time and effect of ESWL after PCNL

作　　者：刘立宇[1] 汤玲[1] 杨中清[1] 李文泽[1] 陈合群[1] 齐琳[1] 

机构地区：[1]中南大学湘雅医院体外冲击波碎石中心,湖南长沙410008

出　　处：《中国现代医学杂志》2008年第9期1279-1280,共2页China Journal of Modern Medicine

摘　　要：目的研究PCNL术后残石行ESWL治疗的适宜时间及疗效。方法回顾分析PCNL术后残石行ESWL治疗的138例患者的工作电压、冲击波次数及临床资料:血尿、腰痛、X线或B超随访检查。结果PC-NL术后5～14d内ESWL26例,腰痛17例,肉眼血尿平均26.7次,平均4.3d,术后残石消失14例,残石减少6例,残石不变6例。15～30d内ESWL83例,腰痛31例,肉眼血尿平均20.3次,平均2.8d,术后残石消失61例,残石减少14例,残石不变8例。31～60d内ESWL29例,腰痛10例,肉眼血尿平均20次,平均2.6d,术后残石消失22例,残石减少5例,残石不变2例。结论PCNL术后15～30d内行ESWL治疗残石安全、有效。[Objective] To study suitable time and curative effect of ESWL after PCNL, [Method] Retrospective analyzed 138 patients＇ operating voltage, frequency of shock wave and clinical data： hematuria, lumbodynia and follow-up testing of X or B ultrasound, who accepted ESWL after PCNL. [Result] Patients who accepted ESWL in 5-14 days after PCNL was 26,among which 17 patients showed up lumbodynia and gross hematuria that average 26.7 times and average 4.3 days. 14 patients＇ residual stone eliminated, 6 patients＇ residual stone diminished, 6 patients＇ residual stone unvaried. Patients who accepted ESWL in 15-30 days after PCNL was 83, among which 31 patients showed up lumbodynia and gross hematuria that average 20.3 times and average 2.8 days. 61 patients＇ residual stone eliminated, 14 patients＇ residual stone diminished, 8 patients＇ residual stone unvaried. Patients who accepted ESWL in 31-60 days after PCNL was 29, among which 10 patients showed up lumbodynia and gross hematuria that average 20 times and average 2.6 days. 22 patients＇ residual stone eliminated, 5 patients＇ residual stone diminished, 2 patients＇ residual stone unvaried. [Conclusion] ESWL is safe and can be used in 15-30 days after PCNL.

关 键 词：肾结石 PCNL ESWL 

分 类 号：R692.4[医药卫生—泌尿科学]